| NPI | 1285725481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D45774) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 74160) |
| 207P00000X Emergency Medicine (Licence: IL 036145478) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-01-23 |