| NPI | 1407174154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 20770) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-36775) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-11-06 |