| NPI | 1447679170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036142175) |
| 207P00000X Emergency Medicine (Licence: OH 34.013414) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-10-26 |