| NPI | 1639196272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2000155010) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-103851) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-11-03 |