| NPI | 1558941179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AZ 011567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS20414) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-07-01 |