| NPI | 1780024232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 291499) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.143506) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-07-21 |