| NPI | 1568084887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 19963) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125075758) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2023-09-15 |