| NPI | 1871537449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 35932) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ND 16469) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-09-30 |