| 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 |