| NPI | 1144395922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD448778) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 68874) |
| 207P00000X Emergency Medicine (Licence: NY 256198) | |
| 207P00000X Emergency Medicine (Licence: OH 122495) | |
| 207P00000X Emergency Medicine (Licence: IL 036.134691) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-10-26 |