| NPI | 1497925945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2051) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C2-0024368) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2023-10-10 |