| NPI | 1073567871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36115212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 49225-020) |
| 207P00000X Emergency Medicine (Licence: IN 01087499A) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-08-08 |