| NPI | 1982657896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M8813) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD183614) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-07-21 |