| NPI | 1407293236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-42490) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R - 9740) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2015-04-19 |