| NPI | 1558590638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018429) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 4487) |
| 207P00000X Emergency Medicine (Licence: FL OS18133) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-09-02 |