| NPI | 1326011966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101014934) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101014934) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IN 02003291A) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-07-25 |