| NPI | 1295847705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 32611) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 62476) |
| 207P00000X Emergency Medicine (Licence: NY 295352) | |
| 207P00000X Emergency Medicine (Licence: NH 19359) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MA09939600) | |
| 207P00000X Emergency Medicine (Licence: MI 4301110566) | |
| 207P00000X Emergency Medicine (Licence: MD D80574) | |
| 207P00000X Emergency Medicine (Licence: IN 01076152A) | |
| 207P00000X Emergency Medicine (Licence: KY TP849) | |
| 207P00000X Emergency Medicine (Licence: MN 30362) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-25 |