| NPI | 1255969085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD214959) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.075815) |
| 207P00000X Emergency Medicine (Licence: WA MD61408997) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-03-27 |