| NPI | 1588194443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 75326-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125071273) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |