| NPI | 1699154070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5992) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 0539374) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-07-10 |