| NPI | 1942282710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 104607) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 523468) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-03-05 |