| NPI | 1457742124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD048449) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0089697) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-07-28 |