| NPI | 1306297585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U7191) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.149827) |
| 207P00000X Emergency Medicine (Licence: ND 16554) | |
| 207P00000X Emergency Medicine (Licence: IN 02005651A) | |
| 207P00000X Emergency Medicine (Licence: MO 2019024515) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-05-03 |