| NPI | 1801022298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME112883) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-056358) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2022-07-11 |