| NPI | 1164462420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 31153) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036141638) |
| 207P00000X Emergency Medicine (Licence: SC 23693) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-05-24 |