| NPI | 1427251008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 7561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 24331) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2017-03-17 |