| NPI | 1457385098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.020683) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 020683) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-12-17 |