| NPI | 1720287394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 72678) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 073399) |
| 207P00000X Emergency Medicine (Licence: MI 5101017192) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-07-31 |