| NPI | 1295890598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME83818) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 19386) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2014-05-22 |