| NPI | 1437138559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102202278) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200100155) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-01-31 |