| NPI | 1336341312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81136-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 9779A) |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301086172) | |
| Enumeration Date | 2007-06-02 |
| Last Update Date | 2023-05-26 |