| NPI | 1336568450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-141896) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 67391) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-10-26 |