| NPI | 1821090309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.022320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 022320) |
| Enumeration Date | 2005-08-13 |
| Last Update Date | 2010-07-13 |