| NPI | 1225485394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150043) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-068224) |
| 207P00000X Emergency Medicine (Licence: MO 2019034668) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-11-22 |