| NPI | 1699098814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 73087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND 13241) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2023-01-04 |