| NPI | 1013594803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024007334) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036168618) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-10-09 |