| NPI | 1336585140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.140461) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301102896) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-12-09 |