| NPI | 1497894562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 52768-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036142138) |
| 207P00000X Emergency Medicine (Licence: MI 5101016354) | |
| 207P00000X Emergency Medicine (Licence: OH 34.012785) | |
| 207P00000X Emergency Medicine (Licence: WV 3772) | |
| 207P00000X Emergency Medicine (Licence: SC 37756) | |
| 207P00000X Emergency Medicine (Licence: IN 02003684A) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-05-07 |