| NPI | 1699777391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036142351) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 5382) |
| 207P00000X Emergency Medicine (Licence: TX P5799) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2022-07-21 |