| NPI | 1245268127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD065440L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036136026) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-06-09 |