| NPI | 1073179388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-171923) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101275931) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-03-05 |