| NPI | 1558755504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 274038) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 67357) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-01-30 |