| NPI | 1316525918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V0129) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125078550) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2024-06-24 |