| NPI | 1407293236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-38536) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-42490) |
| 207P00000X Emergency Medicine (Licence: IA R - 9740) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-03-03 |