| NPI | 1023303138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 311112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A158054) |
| 207P00000X Emergency Medicine (Licence: FL ME125282) | |
| 207P00000X Emergency Medicine (Licence: IL 036.135877) | |
| 207P00000X Emergency Medicine (Licence: SC MMD.38329MD) | |
| 207P00000X Emergency Medicine (Licence: TX Q5652) | |
| 207P00000X Emergency Medicine (Licence: IL 125-059278) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2020-10-04 |