| NPI | 1023452661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 63882-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.139900) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2024-11-05 |