| NPI | 1447345996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 016162) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 9352) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-12-08 |