| NPI | 1548881600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-52093) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A191433) |
| 207P00000X Emergency Medicine (Licence: OR MD225001) | |
| 207P00000X Emergency Medicine (Licence: MI 4351046524) | |
| 207P00000X Emergency Medicine (Licence: IN 01090019A) | |
| 207P00000X Emergency Medicine (Licence: WI 82180-20) | |
| 207P00000X Emergency Medicine (Licence: IL 036165206) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-04-07 |