| NPI | 1396852281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD038665) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D72492) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-06-21 |