| NPI | 1407010713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-11437) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 60231479) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-05-22 |