| NPI | 1073951463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 84157) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-063448) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2020-10-29 |