| NPI | 1750538575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 27327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125052263) |
| 207P00000X Emergency Medicine (Licence: CO 48533) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2014-07-29 |