| NPI | 1942436803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66774) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 55315-020) |
| 207P00000X Emergency Medicine (Licence: IN 01071241A) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-12-30 |