| NPI | 1326488685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.140646) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013022122) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-05-10 |