| NPI | 1457977035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021036989) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020017361) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-06-20 |