| NPI | 1427019918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: FL ME142205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200101292) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2021-08-10 |