| NPI | 1639532328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D88714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD049046) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-07-14 |