| NPI | 1346256831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD16616) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 016616) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-02-03 |