| NPI | 1851528517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 45399) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2011006236) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-05-23 |