| NPI | 1285925115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0012874) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A150088) |
| 207P00000X Emergency Medicine (Licence: PA MD452569) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2021-09-01 |