| NPI | 1386647469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 58127) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 11083) |
| 207P00000X Emergency Medicine (Licence: IL 36111486) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-06-26 |