| NPI | 1538108238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.116070) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76514-20) |
| 207P00000X Emergency Medicine (Licence: IN 01083346A) | |
| 207P00000X Emergency Medicine (Licence: IA MD-53604) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-09-18 |