| NPI | 1518900034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 054567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 26812) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-09-27 |