| NPI | 1487279907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS19673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101026339) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-08-28 |