| NPI | 1427122282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D54594) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD31689) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-29 |