| NPI | 1285730887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16033) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 1388) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-03-07 |