| NPI | 1841580701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 91816) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301106906) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2024-07-02 |