| NPI | 1275829046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2014006560) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2011015404) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2023-05-22 |