| NPI | 1467848283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148226) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301505799) |
| 207P00000X Emergency Medicine (Licence: PA MT208751) | |
| 207P00000X Emergency Medicine (Licence: PA MD462291) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-09-14 |