| NPI | 1629432679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036148671) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2019047499) |
| 207P00000X Emergency Medicine (Licence: WI 4085-320) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-02-29 |