| NPI | 1538186317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 9600286) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS8219) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-09-21 |