| NPI | 1255483756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 64528) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: GA 64528) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2013-03-11 |