| NPI | 1467550103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 21800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 35906) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-11 |