| NPI | 1063538015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008008950) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.150967) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-08-23 |