| NPI | 1003256686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125063495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 73009-21) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-12-07 |