| NPI | 1982620852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 32630) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-083877) |
| 207P00000X Emergency Medicine (Licence: GA 027525) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-02-08 |