| NPI | 1497042402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 63815) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125059647) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-01-21 |