NPI | 1659866903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61258441) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125073365) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2023-10-02 |