| NPI | 1396764429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 059239) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 26979) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-11-24 |