| NPI | 1639189053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150519) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-51905) |
| 207P00000X Emergency Medicine (Licence: WI 3890-320) | |
| 207P00000X Emergency Medicine (Licence: MO 2019043335) | |
| 207P00000X Emergency Medicine (Licence: IN 01081912A) | |
| 207P00000X Emergency Medicine (Licence: CA A86060) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-01-10 |