| NPI | 1447282165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 17486) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.202583) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-11-11 |