| NPI | 1275700361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A129952) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA M0436567) |
| 207P00000X Emergency Medicine (Licence: NC AD3189380-KA10) | |
| 207P00000X Emergency Medicine (Licence: TX P9792) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-03-14 |