| NPI | 1346219565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-122121) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301086249) |
| 207P00000X Emergency Medicine (Licence: IN 01068334A) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301086249) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-12-04 |