| NPI | 1922093731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 2250) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB07883700) |
| 207P00000X Emergency Medicine (Licence: AK 5557) | |
| 207P00000X Emergency Medicine (Licence: NM A1292-04) | |
| 207P00000X Emergency Medicine (Licence: MO 2005015560) | |
| 207P00000X Emergency Medicine (Licence: KS 0531271) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-01-29 |