| NPI | 1184601924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WI 32632) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 32632) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 36079330) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-07-21 |