| NPI | 1730135815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 114105) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-5580) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-06-21 |