| NPI | 1770512170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036109417) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 44365-021) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-01-12 |