| NPI | 1013166925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53435-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036122047) |
| 207P00000X Emergency Medicine (Licence: ND 11215) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2024-03-04 |