| NPI | 1922040484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 023832) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY C1680) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-09-26 |