| NPI | 1508008236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME110144) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125055472) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2023-03-31 |