| NPI | 1427144138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 18978) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 044525) |
| 207P00000X Emergency Medicine (Licence: FL ME71776) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-11-29 |