| NPI | 1467980102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301504433) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125070440) |
| 207P00000X Emergency Medicine (Licence: IL 036152059) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-06-27 |