| NPI | 1295801173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD C0003072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C50000664) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2023-03-07 |