| NPI | 1609895903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036084355) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 82516-20) |
| 207P00000X Emergency Medicine (Licence: IN 01088223A) | |
| 207P00000X Emergency Medicine (Licence: CA G70552) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-06-18 |