| NPI | 1538516471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81336-021) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ID TL-4136) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: ID O-1453) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-04-24 |