| NPI | 1598788416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-46631) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 24237) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-11-11 |