| NPI | 1376101501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 18403) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125074294) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-05-06 |