| NPI | 1295995215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12732) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2012-00498) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-11-05 |