| NPI | 1649437682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036140404) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 254828) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2022-07-08 |