| NPI | 1427081983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-10097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 83947) |
| 207P00000X Emergency Medicine (Licence: IA 34891) | |
| 207P00000X Emergency Medicine (Licence: OR MD185493) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-08-04 |