| NPI | 1265058853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2020015720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-17087) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-04-26 |