| NPI | 1730387085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-53372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-8206) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2024-10-02 |