| NPI | 1306011937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5008) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS014881) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2015-11-09 |