| NPI | 1881611325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101240052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 21683) |
| 207P00000X Emergency Medicine (Licence: WV 01293) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-01-08 |