| NPI | 1083277438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.171195) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ TP01592) |
| 207P00000X Emergency Medicine (Licence: PA MD476580) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207P00000X Emergency Medicine (Licence: GU M-2510) | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2025-11-18 |