| NPI | 1477517977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 17531) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 9801177) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-05-06 |