| NPI | 1811931470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 031029) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 27391) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-07-18 |