| NPI | 1821043266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D0050708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101284263) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-06-26 |