| NPI | 1538184999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX L4281) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-102912) |
| 207P00000X Emergency Medicine (Licence: IN 02002079A) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-20 |