| NPI | 1588929855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.34134) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-2543) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-03-19 |