| NPI | 1477046720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101026138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024013) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-04-26 |