| NPI | 1699260331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023864) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2021-07-06 |