| NPI | 1568419182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-9589) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD23658) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-11-04 |