| NPI | 1326294844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO1919) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018486) |
| 207P00000X Emergency Medicine (Licence: IN 01087625A) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-06-28 |