| NPI | 1093007171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036138053) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT041080) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-09-27 |