| NPI | 1700973435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2005011345) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036136007) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2026-01-14 |