| NPI | 1467550293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 37885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 56131-20) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-12-07 |