| NPI | 1093726226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 62661) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036082903) |
| 207P00000X Emergency Medicine (Licence: SC 16733) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-09-23 |