| NPI | 1457314510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 209676) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME 017626) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-10-20 |