| NPI | 1629207188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 18087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094938) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2018-08-10 |