| NPI | 1346254646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243835) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200037) |
| 207P00000X Emergency Medicine (Licence: AL MD.28200) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2013-11-14 |