| NPI | 1932125283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 39961) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200200570) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-01-27 |