| NPI | 1881984326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 111477) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 8436539-1205) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-12-26 |