| NPI | 1730104142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-056204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 23645) |
| 207P00000X Emergency Medicine (Licence: IN 01039912A) | |
| 207P00000X Emergency Medicine (Licence: AZ 16228) | |
| 207P00000X Emergency Medicine (Licence: CA A35188) | |
| 207P00000X Emergency Medicine (Licence: MI 4301038700) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-21 |