| NPI | 1124284724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL OS16083) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036119360) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2025-04-14 |