| NPI | 1699092486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.34156) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME115265) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-12-14 |