| NPI | 1477500197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301049675) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-163638) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-07-14 |