| NPI | 1518385236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-19910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD045155) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-01-30 |