| NPI | 1427256619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.168288) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4563) |
| 207P00000X Emergency Medicine (Licence: WI 2882-321) | |
| 207P00000X Emergency Medicine (Licence: NY 326461) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-01-22 |