| NPI | 1689298853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI 24344) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.076222) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-08-01 |