| NPI | 1427002252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME45942) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35082156S) |
| 207P00000X Emergency Medicine (Licence: GA 24100) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-23 |