| NPI | 1558431726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 21635) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 47265) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-10-28 |