| NPI | 1720030117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C1-0008179) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 01010232548) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-08-13 |