| NPI | 1295149870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD181552) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R74622) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-04-03 |