| NPI | 1578545810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.23317) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 23317) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-06-29 |