| NPI | 1326421793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 71110) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018013116) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2024-03-27 |