| NPI | 1063070852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.160023) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351045052) |
| 207P00000X Emergency Medicine (Licence: IN 01088941A) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-11-03 |