| NPI | 1477549020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-116436) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R8J38) |
| 207Q00000X Family Medicine (Licence: MO R8J38) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-12-17 |