| NPI | 1437382678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 7782) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL os11634) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2013-08-02 |