| NPI | 1821298001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-10326) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD429680) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-09-29 |