| NPI | 1831685841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009346) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024113) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-07-06 |