| NPI | 1831131531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 051561) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 887) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-07-22 |