| NPI | 1457399610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 29306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-27131) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-01-23 |