| NPI | 1780106708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 312423) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125071545) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-04-19 |