| NPI | 1952545550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 70029) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 60266029) |
| 207P00000X Emergency Medicine (Licence: FL TPME761) | |
| 207P00000X Emergency Medicine (Licence: IL 036155966) | |
| 207P00000X Emergency Medicine (Licence: HI MD-23927) | |
| 207P00000X Emergency Medicine (Licence: ID MD-2526) | |
| 207P00000X Emergency Medicine (Licence: AL 47781) | |
| 207P00000X Emergency Medicine (Licence: CA C159741) | |
| 207P00000X Emergency Medicine (Licence: AZ 63785) | |
| 207P00000X Emergency Medicine (Licence: AR E-17178) | |
| 207P00000X Emergency Medicine (Licence: CO CDR.0003441) | |
| 207P00000X Emergency Medicine (Licence: CT 70770) | |
| 207P00000X Emergency Medicine (Licence: DE CI-0026630) | |
| 207P00000X Emergency Medicine (Licence: DC MD500002611) | |
| 207Q00000X Family Medicine (Licence: AK 213862) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2024-05-07 |