| NPI | 1598847576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00038645) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M11596) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-03-28 |