| NPI | 1437176070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-101675) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 05248) |
| 207P00000X Emergency Medicine (Licence: WI 40398-021) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-02 |