| NPI | 1467031955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 98926) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.45102) |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2024-07-26 |