| NPI | 1750709531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 18739) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD 5028) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-06-04 |