| NPI | 1841493665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD184253) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-11015) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-09-07 |