| NPI | 1275768145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS15886) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.1484) |
| 207P00000X Emergency Medicine (Licence: GA 69171) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2025-03-20 |