| NPI | 1730394040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5579) |
| Additional Taxonomies | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: OH 58-002260) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-10-07 |