| NPI | 1700226602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL35954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 308447) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-07-19 |