| NPI | 1558354852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-6078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M6078) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-07-01 |