| NPI | 1386801058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A128982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036127004) |
| 207P00000X Emergency Medicine (Licence: NY 253516) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-12-12 |