| NPI | 1982652871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD28697) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME44719) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-11-04 |