| NPI | 1336139328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV DO3108) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-081683) |
| 207P00000X Emergency Medicine (Licence: FL OS8626) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-08-11 |