| NPI | 1427257096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR DO165177) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-09-19 |