| NPI | 1326467796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 35962) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 54390) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-03-21 |