| NPI | 1518426485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 84508-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD211601) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-12-10 |