| NPI | 1396306809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 75885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125074580) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2026-01-23 |