| NPI | 1528448024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61389308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI DOS-2053) |
| 207P00000X Emergency Medicine (Licence: GA 00009098) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-03-29 |