| NPI | 1396941357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10287) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 3648) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-08-03 |