| NPI | 1306201363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 77620-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.163851) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-11-22 |