| NPI | 1295821197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.075569) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2006-0463) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-05-19 |