| NPI | 1396030268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 071441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 53844) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2018-10-08 |