| NPI | 1851528756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 078040) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60290963) |
| 207P00000X Emergency Medicine (Licence: IN 11014843A) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-02-19 |