| NPI | 1245346782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036167929) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 253825) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-09-09 |