| NPI | 1740442946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: KS 36846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-36846) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2024-02-02 |