| NPI | 1760557367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 11121) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.145299) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-07-31 |