| NPI | 1780035139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036163454) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2020014926) |
| 207P00000X Emergency Medicine (Licence: NY 298861) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-02-07 |