| NPI | 1457388712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34008435) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36106723) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-12-27 |