| NPI | 1861885444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO2955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 1892) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2023-08-07 |