| NPI | 1942628193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036143555) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R1448) |
| 207P00000X Emergency Medicine (Licence: MN 79643) | |
| 207P00000X Emergency Medicine (Licence: CA A138630) | |
| 207P00000X Emergency Medicine (Licence: DE C1-0025999) | |
| 207P00000X Emergency Medicine (Licence: PA MD472301) | |
| 207P00000X Emergency Medicine (Licence: NY 301710) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2025-05-12 |