| NPI | 1619239936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 64113) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 52311) |
| 207P00000X Emergency Medicine (Licence: IL 036163594) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-02-01 |