| NPI | 1548445281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD28366) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 235423) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2024-08-30 |