| NPI | 1992800585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 4300) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: OK 4300) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-03-05 |