| NPI | 1356389639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A72356) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01088384A) |
| 207P00000X Emergency Medicine (Licence: OR MD219339) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-02-28 |