| NPI | 1093155772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036139334) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301102941) |
| 207P00000X Emergency Medicine (Licence: IN 01088895A) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-11-03 |