| NPI | 1841457744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC TL33568) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R8283) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2011-08-09 |