| NPI | 1700464526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81508-21) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.166609) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-09-17 |