| NPI | 1629116942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 43065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09983100) |
| 207P00000X Emergency Medicine (Licence: AL MD.29604) | |
| 207P00000X Emergency Medicine (Licence: NY 285864) | |
| 207P00000X Emergency Medicine (Licence: MN 63635) | |
| 207P00000X Emergency Medicine (Licence: MI 4301110936) | |
| 207P00000X Emergency Medicine (Licence: KY 25MA09983100) | |
| 207P00000X Emergency Medicine (Licence: IN 01074726A) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-07-31 |