| NPI | 1629437629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A144749) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01082338A) |
| 207P00000X Emergency Medicine (Licence: IL 036150147) | |
| 207P00000X Emergency Medicine (Licence: MO 2019024770) | |
| 207P00000X Emergency Medicine (Licence: AZ 69833) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2024-01-23 |