| NPI | 1295996924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 63816) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 003089) |
| 207P00000X Emergency Medicine (Licence: AL DO1204) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-05-16 |