| NPI | 1952627523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H77833) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 57287-21) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2017-05-11 |