| NPI | 1750768271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68622-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.167150) |
| 207P00000X Emergency Medicine (Licence: PA OT016510) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-11-17 |