| NPI | 1073262820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 84974-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036171708) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2025-09-25 |