| NPI | 1568423564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: UT 5110301) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 5110301-1205) |
| 207P00000X Emergency Medicine (Licence: UT 5110301-1205) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2013-11-18 |