| NPI | 1477714194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 36516) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 002993) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-04-09 |