| NPI | 1639370489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008014393) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036119226) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-10-15 |