| NPI | 1215960026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.129640) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 336.091115) |
| 207P00000X Emergency Medicine (Licence: TX Q5791) | |
| 207P00000X Emergency Medicine (Licence: OH 34008088) | |
| 207P00000X Emergency Medicine (Licence: NC 2012-02286) | |
| 207P00000X Emergency Medicine (Licence: AL DO.1490) | |
| 207P00000X Emergency Medicine (Licence: DC DO034849) | |
| 207P00000X Emergency Medicine (Licence: MO 2010025333) | |
| 207P00000X Emergency Medicine (Licence: GA 057958) | |
| 207P00000X Emergency Medicine (Licence: MD H0064685) | |
| 207P00000X Emergency Medicine (Licence: HI DOS-1111) | |
| 207P00000X Emergency Medicine (Licence: TN DO0000001892) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-11-17 |