| NPI | 1568623668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS 10416) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102202251) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-04-19 |