| NPI | 1144513672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60954020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036134634) |
| 207P00000X Emergency Medicine (Licence: MI 4301098289) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-04-11 |