| NPI | 1679009989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D00948143) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-069950) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-10-02 |