| NPI | 1629399845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD21466) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 52931) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2025-03-11 |