| NPI | 1720281280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101016988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID O-0923) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-01-23 |