| NPI | 1689681454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4243) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010025332) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-10-25 |