| NPI | 1639105422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-00-6988-W) |
| 207P00000X Emergency Medicine (Licence: VA 0102202823) | |
| 207P00000X Emergency Medicine (Licence: MT 11443) | |
| 207P00000X Emergency Medicine (Licence: GA 66340) | |
| 207P00000X Emergency Medicine (Licence: CO DR.0074032) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-09-10 |