| NPI | 1457692980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036139648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-03-01 |