| NPI | 1669608618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 070363) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0012872) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2024-08-28 |