| NPI | 1245855154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL84407) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 76114) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-07-02 |