| NPI | 1437511193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65041) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 86509-20) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-12-11 |