| NPI | 1841234432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 51097) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 35006) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-11-22 |