| NPI | 1578906624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME129796) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036137414) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-11-06 |