| NPI | 1285077727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-10449) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0438989) |
| 207P00000X Emergency Medicine (Licence: MO 2015014099) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-07-21 |