| NPI | 1396762928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35080597) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036112262) |
| 207P00000X Emergency Medicine (Licence: OH 35080597) | |
| 207P00000X Emergency Medicine (Licence: TX L7070) | |
| 207P00000X Emergency Medicine (Licence: NY 219153) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-12-30 |