| NPI | 1386265452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014295) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-05-14 |