| NPI | 1467480269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 061793) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00027442) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-07-27 |