| NPI | 1053368878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3541) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062180A) |
| 207P00000X Emergency Medicine (Licence: IL 036115939) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-11-11 |