| NPI | 1770557266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036123785) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 101652-875) |
| 207P00000X Emergency Medicine (Licence: MN 47726) | |
| 207P00000X Emergency Medicine (Licence: IN 01073469A) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-03-20 |