| NPI | 1518129675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 31033) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL31033) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-11-04 |