| NPI | 1336768571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.146087) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 35.146087) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-11-05 |