| NPI | 1164536512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 46236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36-116105) |
| 207P00000X Emergency Medicine (Licence: KS 0432906) | |
| 207P00000X Emergency Medicine (Licence: OH 35.094674) | |
| 207P00000X Emergency Medicine (Licence: MO 2006029618) | |
| 207P00000X Emergency Medicine (Licence: VA 0101246429) | |
| 207P00000X Emergency Medicine (Licence: WA MD60132287) | |
| 207P00000X Emergency Medicine (Licence: AL MD.32515) | |
| 207P00000X Emergency Medicine (Licence: MS 22512) | |
| 207P00000X Emergency Medicine (Licence: TX Q1440) | |
| 207P00000X Emergency Medicine (Licence: IA MD38533) | |
| 207P00000X Emergency Medicine (Licence: IN 01067277A) | |
| 207P00000X Emergency Medicine (Licence: KY 45360) | |
| 207P00000X Emergency Medicine (Licence: LA 303380) | |
| 207P00000X Emergency Medicine (Licence: MI 4301081397) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-03-07 |