| NPI | 1487757142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO R5169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R5169) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-08-19 |