| NPI | 1992748297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 054047) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 20444) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-12-29 |