| NPI | 1649438243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 56512) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036120336) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-02-21 |