| NPI | 1437670809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021024758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-11224) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-08-23 |