| NPI | 1447512413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 28540) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 6704) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2017-03-03 |