| NPI | 1598098428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 112921) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 050030) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2021-04-19 |