| NPI | 1518112267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-01006) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036124197) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2025-04-21 |