| NPI | 1568478311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 51367) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 36113105) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-10-08 |