| NPI | 1669501490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD-200554) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.200554) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-07-15 |