| NPI | 1316979032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 27518-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-070701) |
| 207P00000X Emergency Medicine (Licence: CA G50513) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-12-26 |