| NPI | 1801874698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-3581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 15526R) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-05-14 |