| NPI | 1851307367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD183623) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M9611) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-09-07 |