| NPI | 1598781445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0003736) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA 22873-E) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-03-04 |