| NPI | 1548426067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 18299) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME112091) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2012-03-13 |