| NPI | 1619160884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD44747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125048916) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2022-03-23 |