| NPI | 1598119588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 12586110-1204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 008953) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2022-09-06 |