| NPI | 1588616981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 38905-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036093773) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-08-12 |