| NPI | 1295288280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 6208) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0147R) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2017-10-18 |