| NPI | 1467773630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 4331) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-02-07 |