| NPI | 1336313386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 55961) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036126321) |
| 207P00000X Emergency Medicine (Licence: TX N8823) | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2022-06-28 |