| NPI | 1366673436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.127268) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.055727) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2023-12-11 |