| NPI | 1720602568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND LT20140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125076563) |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2023-08-01 |