| NPI | 1306281944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1016) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY C2041) |
| 207P00000X Emergency Medicine (Licence: MT 144242) | |
| 207P00000X Emergency Medicine (Licence: MI 5101020453) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-09-10 |