| NPI | 1437684057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 25015) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 27856) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-06-04 |