| NPI | 1538324819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 39834) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM FM0716780) |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: IA MD-39834) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IA MD-39834) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2020-07-13 |