| NPI | 1437198074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 91699) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2002002011) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-05-19 |