| NPI | 1386872828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 10690236-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 003644) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-05-03 |