| NPI | 1477744951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2008-01018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 37274) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-08-04 |