| NPI | 1356306377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 042242) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 32564) |
| 207P00000X Emergency Medicine (Licence: AZ 56976) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-10-26 |