| NPI | 1780973412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.134843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT195797) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-12-22 |