| NPI | 1396061156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-48341) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000048246) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2023-10-02 |