| NPI | 1295718294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2007035011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036110018) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-04-10 |