| NPI | 1528325198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 19231) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 1055) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2022-10-05 |