| NPI | 1932385093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0431446) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME57778) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2017-05-30 |