| NPI | 1528212982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020382) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.4309) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2025-09-12 |