| NPI | 1700379039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301115064) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036156984) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-08-26 |