| NPI | 1427390749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 61343) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME129025) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2022-03-21 |