| NPI | 1841428885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 6084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND 12275) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2024-03-29 |