| NPI | 1528088200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.33762) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 028581) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-11-18 |