| NPI | 1285131839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-46743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 148960) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-04-08 |