| NPI | 1477046886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 52715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL52715) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2021-08-23 |