| NPI | 1417242298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 33321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL33557) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-07-03 |