| NPI | 1023279643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.130675) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 282064) |
| 207P00000X Emergency Medicine (Licence: MO 2014035468) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-01-11 |