| NPI | 1497381438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125076581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 61581) |
| 207P00000X Emergency Medicine (Licence: IN 01092036A) | |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-04-13 |