| NPI | 1841788916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD25780) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 21523) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2022-11-08 |