| NPI | 1376921767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-45791) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 148082) |
| 207P00000X Emergency Medicine (Licence: IL 036150842) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-11-15 |