| NPI | 1437214061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024009164) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C1-0026263) |
| 207P00000X Emergency Medicine (Licence: WI 13628) | |
| 207P00000X Emergency Medicine (Licence: NY 237391) | |
| 207P00000X Emergency Medicine (Licence: OH 35.133148) | |
| 207P00000X Emergency Medicine (Licence: IL 036.146401) | |
| 207P00000X Emergency Medicine (Licence: DE C1-0026263) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2026-03-02 |