| NPI | 1225226863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 51777-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036118969) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-12-29 |