| NPI | 1295153393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD049005) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D88922) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-10-11 |