| NPI | 1609167139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GU M-2264) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A138202) |
| 207P00000X Emergency Medicine (Licence: IL 036134293) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2021-10-21 |