| NPI | 1407268113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-16273) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL36831) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-03-17 |