| NPI | 1326091265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO.1783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 057108) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-11-03 |