| NPI | 1417066747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2005-0548) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD13606) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-10-27 |