| NPI | 1467424986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 25105) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MT 6007) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2009-10-15 |