| NPI | 1922052687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 018222) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D58430) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-09-03 |