| NPI | 1851520506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 32738) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL31953) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2017-04-05 |