| NPI | 1417410143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 10471) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS17103) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-09-05 |