| NPI | 1437252657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-18588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME87716) |
| 207P00000X Emergency Medicine (Licence: LA MD.206841) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-02-26 |