| NPI | 1588004329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2017005237) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020597) |
| 207P00000X Emergency Medicine (Licence: IL 036.151370) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-02-21 |