| NPI | 1811915440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036162750) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD034519) |
| 207P00000X Emergency Medicine (Licence: VA 0101222170) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-01-12 |