| NPI | 1184291502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.017742) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036168304) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-05-01 |