| NPI | 1720234180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 75302) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD15588) |
| Enumeration Date | 2008-08-16 |
| Last Update Date | 2024-06-24 |