| NPI | 1336439173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2014007076) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-7649) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-09-15 |