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 |