| NPI | 1497706931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 78406) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101236535) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-03-17 |