| NPI | 1427091230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 40355) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN BK7439258) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-01-30 |