| NPI | 1841467313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 71735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101249256) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-01-22 |