| NPI | 1659692853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA MD-42611) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.132061) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2021-07-20 |