| NPI | 1689637233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2003001129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-34156) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2011-03-17 |