| NPI | 1578530143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D67102) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD 61-19645) |
| 207P00000X Emergency Medicine (Licence: WA MD00045376) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2023-09-21 |