| NPI | 1487974424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID 0-1550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125058092) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2023-07-17 |