| NPI | 1457339004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 16111) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME87540) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-08-19 |