| NPI | 1700191558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 60806-20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125058076) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2022-01-05 |