| NPI | 1730386434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 13687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS9052) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-07-18 |