| NPI | 1508153271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 33870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL33870) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-11-01 |