| NPI | 1497700769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 52284) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC DO034204) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-07-31 |