| NPI | 1578190278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 69094) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 390200000x) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-11-01 |