| NPI | 1316279433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 97252-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036130513) |
| 207P00000X Emergency Medicine (Licence: IL 125-056225) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2021-12-15 |