| NPI | 1932605847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 18793) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H91347) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-06-08 |