| NPI | 1740644293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-17966) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 62710) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-06-06 |