| NPI | 1609018217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036128832) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01070215A) |
| 207P00000X Emergency Medicine (Licence: OH 35.099369) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2021-03-17 |