| NPI | 1609810548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 37105-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-081099) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-12-22 |