| NPI | 1518045053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.29805) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR R4325) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-03-12 |