| NPI | 1699086918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS fc3249908) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS T-2301) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-05-02 |