| NPI | 1750446787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 4764870-1205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-8029) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-05-20 |