| NPI | 1780976977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 217193) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036149384) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2024-12-17 |