| NPI | 1245559210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4703) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125058075) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2020-01-06 |