| NPI | 1598785834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 978) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS18227) |
| 207P00000X Emergency Medicine (Licence: MS 22902) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-07-19 |