| NPI | 1427395326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102203889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU DO-0125) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2023-12-13 |