| NPI | 1326660309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-52054) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME162439) |
| 207P00000X Emergency Medicine (Licence: MO 2012008250) | |
| 207P00000X Emergency Medicine (Licence: IN 01089619A) | |
| 207P00000X Emergency Medicine (Licence: IL 036164567) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-03-20 |