| NPI | 1568578250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036110274) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD18064) |
| 207P00000X Emergency Medicine (Licence: IN 01074588A) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-09-11 |