| NPI | 1528006483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 12996) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-088245) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-04-19 |