| NPI | 1265402036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-138517) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 64315-21) |
| 207P00000X Emergency Medicine (Licence: OH 34-00-7227-P) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 64315-21) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-08-19 |