| NPI | 1821257049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 43703) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 201803111) |
| 207P00000X Emergency Medicine | |
| 207P00000X Emergency Medicine (Licence: IL 036144461) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-07-21 |