| NPI | 1346318011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME66503) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 039719) |
| 207P00000X Emergency Medicine (Licence: TN 17086) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-05-23 |