| NPI | 1881855740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 30805) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL30805) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-10-26 |