| NPI | 1114318466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036156868) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 298407) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-05-19 |