| NPI | 1659718278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036139758) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT203979) |
| 207P00000X Emergency Medicine (Licence: IN 01087099A) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-02-03 |