| NPI | 1417306911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148702) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 68714) |
| 207P00000X Emergency Medicine (Licence: IL 125.068918) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-11-18 |