| NPI | 1033384565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53967-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125051916) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2022-05-04 |