| NPI | 1417375890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D83444) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D0083444) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2017-11-30 |