| NPI | 1306297338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD209877) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: OR MD209877) |
| 207P00000X Emergency Medicine (Licence: PA MD466423) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-03-11 |