| NPI | 1508907247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016009160) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036088207) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-09-09 |