| NPI | 1982884961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-48382) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN DO2162) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-02-29 |