| NPI | 1295754257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-108833) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 53614-21) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-05-08 |