| NPI | 1265524276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD23973) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 226982) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-10-29 |