| NPI | 1285602516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-102984) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46242-21) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2022-10-14 |