| NPI | 1396716742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 016121) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 25365) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-11-12 |