| NPI | 1881187086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL52022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR DO210953) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-09-19 |