| NPI | 1669820742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 291373) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.068500) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2023-06-02 |