| NPI | 1548233497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 44135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 2817) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2024-02-16 |