| NPI | 1497307375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO3595) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 292313) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-07-18 |