| NPI | 1447239348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101029755) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 41163) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-08 |