| NPI | 1356311666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036158586) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS8885) |
| 207P00000X Emergency Medicine (Licence: WI 1022) | |
| 207P00000X Emergency Medicine (Licence: NV CL0117) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: AL DO867) | |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: NV DO3106) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-10-14 |