| NPI | 1164787149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD465853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125061616) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-12-23 |