| NPI | 1922324169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC MMD.35775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 98829) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-09-24 |