| NPI | 1700803343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS7335) |
| 207P00000X Emergency Medicine (Licence: IN 02001469) | |
| 207P00000X Emergency Medicine (Licence: IL 36086810) | |
| 207P00000X Emergency Medicine (Licence: VA 0102201640) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-08-13 |