| NPI | 1407269145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036141825) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q4986) |
| 207P00000X Emergency Medicine (Licence: NV 16789) | |
| 207P00000X Emergency Medicine (Licence: MO 2018041166) | |
| 207P00000X Emergency Medicine (Licence: IN 01081551A) | |
| 207P00000X Emergency Medicine (Licence: NM MD2014-0702) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-07-12 |