| NPI | 1548207558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 11324) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 210087) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-10-20 |