| NPI | 1497377832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-49378) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0101061) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-07-09 |