| NPI | 1518450097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125072354) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-48623) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA MD-48623) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-09-09 |