| NPI | 1295138782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036172781) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10313500) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-01-22 |