| NPI | 1689973950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 40588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 257251) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2021-06-08 |