| NPI | 1164059259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036165712) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME156427) |
| 207P00000X Emergency Medicine (Licence: TX U3937) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-04-30 |