| NPI | 1699096644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036131796) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301505565) |
| 207P00000X Emergency Medicine (Licence: WI 3977-320) | |
| 207P00000X Emergency Medicine (Licence: IN 01083422A) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-02-12 |