| NPI | 1215241674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61333959) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125057682) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2025-05-02 |