| NPI | 1376921767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2025017305) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036150842) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2025-08-26 |