| NPI | 1730123969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 17561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 52666) |
| 207P00000X Emergency Medicine (Licence: CA C53813) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-10-16 |