| NPI | 1447791702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0090945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.070413) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2024-08-07 |