| NPI | 1285204933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 7767) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0460R) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2022-10-13 |