| NPI | 1336103910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 26594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 88811) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-09-04 |