| NPI | 1386714657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0011267) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CT 027498) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-11-17 |