| NPI | 1558420067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-9795) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-34946) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-12-07 |