| NPI | 1336251891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-27094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009033375) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-25 |