| NPI | 1760434633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 44370-021) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036102929) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-10-27 |