| NPI | 1245305168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A102074) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006023031) |
| 207P00000X Emergency Medicine (Licence: IN 01062161A) | |
| 207P00000X Emergency Medicine (Licence: IL 125-048102) | |
| 207P00000X Emergency Medicine (Licence: IL 036-118616) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2010-04-15 |