| NPI | 1295961613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 50159) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8606) |
| 207P00000X Emergency Medicine (Licence: IL 036127305) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2015-03-30 |