NPI | 1295984078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C154957) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 289627) |
207P00000X Emergency Medicine (Licence: IL 036-121488) | |
207Q00000X Family Medicine (Licence: IL 036121488) | |
Enumeration Date | 2008-09-16 |
Last Update Date | 2022-11-14 |