| NPI | 1740210616 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9019) |
| 207P00000X Emergency Medicine (Licence: AZ 4747) | |
| 207P00000X Emergency Medicine (Licence: MO 2020000849) | |
| 207P00000X Emergency Medicine (Licence: DC DO210001738) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-08 |