| NPI | 1073139051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036163508) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2024035288) |
| 207P00000X Emergency Medicine (Licence: PA OT019964) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-10-07 |