| NPI | 1497953079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-9119) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101245142) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-10-08 |