| NPI | 1114912268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036097105) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 29474) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2023-10-31 |