| NPI | 1134129521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 73604-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036087277) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-11-17 |