| NPI | 1598773087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.131996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 232863) |
| 207P00000X Emergency Medicine (Licence: CT 046737) | |
| 207P00000X Emergency Medicine (Licence: FL ME102586) | |
| 207P00000X Emergency Medicine (Licence: MI 4301077849) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-06-02 |