| NPI | 1710929708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS010419L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 051467) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-12-19 |