| NPI | 1518976083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 10391) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD14961) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-04-27 |