| NPI | 1457308850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.013775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 013775) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-10-03 |