NPI | 1184881401 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-135932) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8332) |
207P00000X Emergency Medicine (Licence: IA 39124) | |
207PS0010X Emergency Medicine, Sports Medicine (Licence: IL 036-135932) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2014-08-19 |