| NPI | 1952343527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 20955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 42046) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-12-07 |