| NPI | 1477539153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 73953) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036133208) |
| 207P00000X Emergency Medicine (Licence: TX M6457) | |
| 207Q00000X Family Medicine (Licence: IL 036133208) | |
| 207Q00000X Family Medicine (Licence: TX M6457) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2023-11-02 |