| NPI | 1881989630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 33529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL33529) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-11-19 |