| NPI | 1417301433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID MC-1553) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 56434) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-09-12 |