| NPI | 1912972043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 054586) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 054586) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-05-27 |