| NPI | 1518283431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.146889) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036146889) |
| 207P00000X Emergency Medicine (Licence: PA OS016123) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2024-01-08 |