| NPI | 1467440750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 14136) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC 34327) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-09-09 |