| NPI | 1700975943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 43402) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 27176) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-23 |