| NPI | 1043716418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61126162) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125073331) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-05-03 |