| NPI | 1811492788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 04919) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.153805) |
| 207P00000X Emergency Medicine (Licence: IN 02006283A) | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2024-08-08 |