| NPI | 1144631185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036158910) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293474) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-02-11 |