| NPI | 1881984805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E7895) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 343739) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-10-24 |