| NPI | 1437377538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016017569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4490) |
| 207Q00000X Family Medicine (Licence: OK 4490) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-09-07 |