| NPI | 1437646239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 27785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 325332) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-02-14 |