| NPI | 1336528413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 38132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL38132) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-07-06 |