| NPI | 1689988909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-45303) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-058152) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2025-02-06 |