| NPI | 1518042233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH DO Training Cert.) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS TPA00011) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-06-02 |