| NPI | 1548647472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 008197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 6014) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-07-25 |