| NPI | 1992807135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.200581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200581) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2010-03-03 |