| NPI | 1487623286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036110592) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301052069) |
| 207R00000X Internal Medicine (Licence: IL 036110592) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-11-27 |