| NPI | 1134328446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 54047-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.052425) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-12-16 |