| NPI | 1437197035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 44921-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-094382) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-12-07 |