| NPI | 1316998396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 213985) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD26572) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2023-08-04 |