| NPI | 1295860468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101016129) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-06-17 |