| NPI | 1558750372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148893) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0067760) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2022-06-17 |