| NPI | 1346271996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 23397) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: HI MD13240) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-11-27 |