| NPI | 1083870703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 251142) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036126327) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-10-29 |