| NPI | 1396109971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036166108) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304319) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-09-21 |