| NPI | 1548202526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 1111) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 510104304) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-02-20 |