| NPI | 1336677566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AZ 008455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024531) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-02-12 |