| NPI | 1720305246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015948) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054162) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-06-04 |