| NPI | 1588611230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 11474) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 225320) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-11-27 |