| NPI | 1336713833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 86201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL86201) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-08-13 |