| NPI | 1447614391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 20558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 96441) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-10-11 |