| NPI | 1427568278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036174376) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036174376) |
| 207P00000X Emergency Medicine (Licence: WI 81921-20) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2026-08-28 |