| NPI | 1659302289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150432) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD427812) |
| 207P00000X Emergency Medicine (Licence: MO 2019031790) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-24 |