| NPI | 1326336496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 62218) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L2018794) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2023-07-31 |