| NPI | 1508354200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 76071) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01089588A) |
| 207P00000X Emergency Medicine (Licence: IL 125-072199) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2023-08-02 |