| NPI | 1467681007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME114461) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL TRN14285) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2013-04-18 |