| NPI | 1437569019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145409) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005315A) |
| 207P00000X Emergency Medicine (Licence: MI 5101026480) | |
| 207P00000X Emergency Medicine (Licence: PA OT015617) | |
| 207P00000X Emergency Medicine (Licence: FL OS19693) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-01-22 |