| NPI | 1497702492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A10997) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q2896) |
| 207P00000X Emergency Medicine (Licence: IL 036109864) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-02-06 |