| NPI | 1831545987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-46221) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 218413) |
| 207P00000X Emergency Medicine (Licence: WI 1407) | |
| 207P00000X Emergency Medicine (Licence: IL 036151505) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-08-07 |