| NPI | 1861465585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME37145) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 040502) |
| 207P00000X Emergency Medicine (Licence: FL ME 37145) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2009-12-11 |