| NPI | 1457519191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 4042) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8344) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2021-04-12 |