| NPI | 1699091066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS 12318) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA DO.000283) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2013-08-19 |