| NPI | 1114155116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036165269) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018157) |
| 207P00000X Emergency Medicine (Licence: IN 02004239A) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-07-12 |