| NPI | 1467895128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 277144) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2023-05-25 |