| NPI | 1669823662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 6152) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A18362) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-03-19 |