| NPI | 1366486458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 53595-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-078597) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-12-20 |