| NPI | 1477753184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 29755) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL29755) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-11-09 |