| NPI | 1407110174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36.138719) |
| 207P00000X Emergency Medicine (Licence: CA A136928) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-01-02 |