| NPI | 1245610203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69993) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA r-10321) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-09-13 |