| NPI | 1366692287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 56837) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WI 56837-21) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036129701) | |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2024-05-02 |