| NPI | 1538518386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 70250-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.152539) |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2023-08-08 |