| NPI | 1497789515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 010123296) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036094426) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-07-11 |