| NPI | 1720516800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 63053) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036151120) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2021-10-18 |