| NPI | 1396193710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS16341) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 008233) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-04-05 |