NPI | 1225272172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036130861) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.098086) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036.130861) | |
Enumeration Date | 2009-04-22 |
Last Update Date | 2025-04-24 |