| NPI | 1376145623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 72223) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL ME.44782) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-06-19 |