| NPI | 1366881971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 55062) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.142043) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-11-12 |