| NPI | 1144781329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A183149) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76884-20) |
| 207P00000X Emergency Medicine (Licence: IL 125.074471) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-08-30 |