| NPI | 1609807783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME80403) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 80094) |
| 207P00000X Emergency Medicine (Licence: IN 01068667A) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-09-01 |