| NPI | 1366466641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 67081-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2000148612) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-04-12 |