| NPI | 1376968552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 18122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101261491) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2024-04-22 |