| NPI | 1437126596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 41633) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 43032) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2014-09-11 |