| NPI | 1144633629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 65368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-43857) |
| 207P00000X Emergency Medicine (Licence: IL 036.143207) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-06-10 |