| NPI | 1831835016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4351049673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315233199) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-06-05 |