| NPI | 1558821660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036164767) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.145031) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2023-10-19 |