| NPI | 1669574034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 4836) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AK 4836) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AK 4836) | |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: AK 4836) | |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AK 4836) | |
| 207V00000X Obstetrics & Gynecology (Licence: AK 4836) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AK 4836) | |
| 208D00000X General Practice (Licence: AK 4836) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |