| NPI | 1578946877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 7541) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 85098) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2023-03-03 |