| NPI | 1578536215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036105497) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 34419) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-12-20 |