| NPI | 1740570183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA DO.000336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 72290) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2021-11-15 |