| NPI | 1548276991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 007596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036106115) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-10-05 |