| NPI | 1386693711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 41125-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 213982) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-03-04 |