| NPI | 1326492018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036153022) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012998) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-09-11 |