| NPI | 1417156142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 60232) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 018291) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2024-09-10 |