| NPI | 1831116433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-050417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 20748) |
| 207P00000X Emergency Medicine (Licence: NC 200600526) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-12-12 |