| NPI | 1407819030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 040391) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036103653) |
| 207P00000X Emergency Medicine (Licence: WI 44191) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-07-21 |