| NPI | 1639518897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134590) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: FL ME134590) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2026-01-26 |