| NPI | 1194785691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL MD125904) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036091114) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2021-07-27 |