| NPI | 1346283983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD10474R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 10474R) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-10-29 |