| NPI | 1922280213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX n6688) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA mt186774) |
| 207P00000X Emergency Medicine (Licence: IL 036120308) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-02-18 |