| NPI | 1386623353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L7984) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.101170) |
| 207Q00000X Family Medicine (Licence: TX L7984) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX L7984) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-05-10 |