| NPI | 1649697541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD19141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125065187) |
| 207P00000X Emergency Medicine (Licence: IL 036.145456) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2026-02-12 |