| NPI | 1578596235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2000160387) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036159352) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-03-04 |