| NPI | 1225358518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2013002828) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036163043) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-08-27 |