| NPI | 1497051288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 69790) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA fc3291515) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2023-04-18 |