| NPI | 1306082037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 243473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-16400) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2025-07-24 |