| NPI | 1194795542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01080292A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35123303) |
| 207P00000X Emergency Medicine (Licence: MO 2019015004) | |
| 207P00000X Emergency Medicine (Licence: KY 50129) | |
| 207P00000X Emergency Medicine (Licence: IL 36106657) | |
| 208600000X Surgery (Licence: IL 36106657) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-08-08 |