| NPI | 1518352400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036145358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R6488) |
| 207P00000X Emergency Medicine (Licence: MI 4301107916) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-01-28 |