| NPI | 1659521276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P6222) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125055442) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2023-08-22 |