| NPI | 1841229135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 12385) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME88031) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |