| 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 |