| NPI | 1386826527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME123989) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 048237) |
| 207P00000X Emergency Medicine (Licence: MD D71740) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-03-17 |