| NPI | 1336452861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.136964) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018967) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2021-12-19 |