| NPI | 1437339900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101015934) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD HOO69899) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2010-02-15 |