| NPI | 1427097930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS8420) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA DO000012) |
| 207P00000X Emergency Medicine (Licence: AR E-7954) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-02-29 |