| NPI | 1891314548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036164151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301508007) |
| 207P00000X Emergency Medicine (Licence: IN 01089222A) | |
| 207P00000X Emergency Medicine (Licence: IA MD-52167) | |
| 207P00000X Emergency Medicine (Licence: WI 82216-20) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-01-22 |