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 |