NPI | 1700310554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S5500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036153307) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-10-25 |