| NPI | 1659753028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 292588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125066437) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-05-20 |