| NPI | 1528528908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 39135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.41882) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-02-20 |