| NPI | 1396326559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027896) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151015044) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-08-25 |