| NPI | 1265680144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.167523) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 52429) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 52429) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036.167523) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-12-21 |