| NPI | 1144264086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-107441) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60646-20) |
| 207P00000X Emergency Medicine (Licence: IN 01056200A) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-01-22 |