| NPI | 1619959137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 111383) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036086751) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 111383) | |
| 208000000X Pediatrics (Licence: MO 111383) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-10-06 |