| NPI | 1255305041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 14006) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME62499) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2017-04-19 |