| NPI | 1396994539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-129670) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS015238) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-01-30 |