| NPI | 1881614105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 43201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 057110) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-05-06 |