| NPI | 1447277074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301060782) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 013990) |
| 207P00000X Emergency Medicine (Licence: FL ME38898) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |