| NPI | 1912951856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2009027537) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-7422) |
| 207P00000X Emergency Medicine (Licence: IN 01062431A) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-09-20 |