| NPI | 1184838575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 2022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-124362) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-05-31 |