| NPI | 1205898806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036105779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C156675) |
| 207P00000X Emergency Medicine (Licence: MO 115510) | |
| 207P00000X Emergency Medicine (Licence: AZ 62652) | |
| 207P00000X Emergency Medicine (Licence: OR MD24200) | |
| 207P00000X Emergency Medicine (Licence: WA MD60811852) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-03-18 |