| NPI | 1528357936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0083098) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125062842) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2025-11-06 |