| NPI | 1720377237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 70559) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 31914) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2014-06-28 |