| NPI | 1831659648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0093419) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0029370) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-07-06 |