| NPI | 1952549438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0072320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD040067) |
| 207P00000X Emergency Medicine (Licence: VA 0101249914) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2015-03-13 |