| NPI | 1841385531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2007-00311) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-115262) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-02-21 |