| NPI | 1801024203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2009013698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-36565) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-01-22 |