| NPI | 1083827612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301104246) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-129818) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-10-18 |