| NPI | 1598052532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.134509) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 82230-20) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2023-09-12 |