| NPI | 1407241417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 82633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 82633) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-12-22 |