| NPI | 1316998941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR e-4675) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006022551) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-02-28 |