| NPI | 1255356663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-061292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 24697) |
| 207P00000X Emergency Medicine (Licence: MI 4301053153) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-12-16 |