| NPI | 1942446539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC 148212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301111107) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2021-12-16 |