| NPI | 1225422793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0089682) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 53587) |
| 207P00000X Emergency Medicine (Licence: OH 35C.003933) | |
| 207P00000X Emergency Medicine (Licence: GA 110843) | |
| 207P00000X Emergency Medicine (Licence: FL ME180532) | |
| 207P00000X Emergency Medicine (Licence: MA 274809) | |
| 207P00000X Emergency Medicine (Licence: KY C5422) | |
| 207P00000X Emergency Medicine (Licence: NC 2026-01421) | |
| 207P00000X Emergency Medicine (Licence: VA 0101289289) | |
| 207P00000X Emergency Medicine (Licence: IN 01099486A) | |
| 207P00000X Emergency Medicine (Licence: PA MD494659) | |
| 207P00000X Emergency Medicine (Licence: TX W4660) | |
| 207P00000X Emergency Medicine (Licence: IL 036.179338) | |
| 207P00000X Emergency Medicine (Licence: OK 47753) | |
| 207P00000X Emergency Medicine (Licence: TN 77252) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2026-06-17 |