| NPI | 1346474301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0073726) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0004261) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2021-09-29 |