| NPI | 1447453394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-26491) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 101508) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |