| NPI | 1487816237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036126820) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35C.000688) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-09-06 |