| NPI | 1427277888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.202239) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 202239) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-12-06 |