| NPI | 1346700374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036167024) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 326283) |
| 207P00000X Emergency Medicine (Licence: MO 2022033080) | |
| 207P00000X Emergency Medicine (Licence: WI 83446-20) | |
| 207P00000X Emergency Medicine (Licence: FL ME150886) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-03-18 |