| NPI | 1801988746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-33639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200601345) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-08-16 |