| NPI | 1326489378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7369) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.063942) |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2022-12-27 |