| NPI | 1033156740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A65615) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 9806A) |
| 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-34023) | |
| 207P00000X Emergency Medicine (Licence: UT 9064844-1205) | |
| 207P00000X Emergency Medicine (Licence: NM MD2014-0724) | |
| 207P00000X Emergency Medicine (Licence: NV 15481) | |
| 207P00000X Emergency Medicine (Licence: CO DR.0054437) | |
| 207P00000X Emergency Medicine (Licence: ID M-12661) | |
| 207P00000X Emergency Medicine (Licence: WA MD60476217) | |
| 207P00000X Emergency Medicine (Licence: HI MD-18004) | |
| 207P00000X Emergency Medicine (Licence: OR MD168822) | |
| 207P00000X Emergency Medicine (Licence: AZ 49508) | |
| 207P00000X Emergency Medicine (Licence: NY 281239) | |
| 207P00000X Emergency Medicine (Licence: FL ME125239) | |
| 207P00000X Emergency Medicine (Licence: PA MD455902) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-08-19 |