| NPI | 1053708016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 83091) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11018600A) |
| 207P00000X Emergency Medicine (Licence: IL 125.067286) | |
| 207P00000X Emergency Medicine (Licence: DC MD047015) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-05-15 |