| NPI | 1063809739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 58973) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125067783) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-03-23 |