| NPI | 1396196622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 008726) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-01-17 |