| NPI | 1063439503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-099455) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H46397) |
| 207P00000X Emergency Medicine (Licence: TX H6194) | |
| 207P00000X Emergency Medicine (Licence: DC DO20976) | |
| 207P00000X Emergency Medicine (Licence: DC DO25267) | |
| 207P00000X Emergency Medicine (Licence: MI 5101018060) | |
| 207P00000X Emergency Medicine (Licence: IA 4011) | |
| 207P00000X Emergency Medicine (Licence: KS 0533706) | |
| 207P00000X Emergency Medicine (Licence: OH 34.009604) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-04-04 |