| NPI | 1720428683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 37613) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 006453) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-10-15 |