| NPI | 1477597797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D56051) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101058033) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-02-07 |