NPI | 1194969642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036160560) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.010002) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2022-08-19 |