| NPI | 1053520700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036118251) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 53098-20) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036118251) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-02-12 |