| NPI | 1851742217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS20571) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101022807) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-01-30 |