| NPI | 1851529291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-00370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 003629) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-05-22 |