| NPI | 1326106386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME EC-06-1056) |
| 207P00000X Emergency Medicine (Licence: ME 017907) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-06-17 |