| NPI | 1780025700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D84989) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD 4348) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-01-09 |