| NPI | 1760764153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142404) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014021727) |
| 207P00000X Emergency Medicine (Licence: GA 72056) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MA10391100) | |
| 207P00000X Emergency Medicine (Licence: CT 52272) | |
| 207P00000X Emergency Medicine (Licence: MN 61640) | |
| 207P00000X Emergency Medicine (Licence: FL ME120257) | |
| 207P00000X Emergency Medicine (Licence: WA MD60830186) | |
| 207P00000X Emergency Medicine (Licence: NY 266988) | |
| 207P00000X Emergency Medicine (Licence: KS 04-40604) | |
| 207P00000X Emergency Medicine (Licence: NH 18640) | |
| 207P00000X Emergency Medicine (Licence: CA A135734) | |
| 207P00000X Emergency Medicine (Licence: TN MD0000058008) | |
| 207P00000X Emergency Medicine (Licence: ME MD22061) | |
| 207P00000X Emergency Medicine (Licence: PA MD458235) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2023-06-26 |