| NPI | 1285672444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 33170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-114255) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-03-04 |