| NPI | 1336314459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036125101) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01079613A) |
| 207P00000X Emergency Medicine (Licence: NY 252900) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-11-13 |