| NPI | 1720255409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-46898) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC TL31698) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-04-03 |