| NPI | 1588950562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125-059729) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.137142) |
| 207P00000X Emergency Medicine (Licence: WA MD60954871) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-09-06 |